Aspiration Precautions Communication Form
This form is designed for speech-language pathologists in medical settings needing to communicate aspiration precautions to nursing, physician, therapy, and kitchen staff. The form is designed to specify the following:
- Name, room number, date
- New admit, re-admit, diet change, or variance form in place
- Diet texture
- Liquid consistency
- How to give medications
- Level of supervision
- Supervision personel
- Oral care instructions
- Swallow precautions, including check boxes for 17 common strategies and room to write individualized strategies
- Where meal trays should be delivered
- Adaptive gear
- Places for SLP and physician signatures
This form may replace a variety of different forms within a facility and improve workflow and productivity.
Tech specs: Digital download. 1 page. 8.5 x 11 inches. PDF format. 106 kb.